论文部分内容阅读
手术封闭黄斑穿孔,难度大,破坏性也较强,激光封闭黄斑穿孔,是比较理想的方法。然而,对黄斑穿孔伴有视网膜下积液,尤其积液较多者,单用激光治疗往往不能达到预期之效果。为了改变这种情况,我们设计了两种治疗方法;1、先激光后用药物+体位疗法;2、先激光然后手术放水(包括巩膜缩短)。和习惯作法不同之处在于:其一,不是等视网膜下积液消退或手术放水以后再行激光,而是激光在前,退水在后;其二,在这种情况下,激光焦点不是对隆起的视网膜面进行凝结,而是把焦点对准穿孔的底部——视网膜色素上皮层和脉络膜面进行凝结。1974年以来,我们用以上两种方法治疗黄斑穿孔伴有不同程度的视网膜下积液患者
Surgical closure of macular perforation, difficult, destructive is also strong, the laser closed macular perforation, is an ideal method. However, macular perforation associated with subretinal fluid, especially fluid more, alone with laser treatment often can not achieve the desired effect. In order to change this situation, we designed two kinds of treatment methods; 1, after the first laser + body therapy; 2, the first laser and then surgical drainage (including scleral shortening). And the difference between the practice is that: First, not wait for subretinal effusion subsided or after the operation of water drainage laser, but in front of the laser, back in the post; Second, in this case, the laser focus is not right Instead, the raised retinal surface condenses, instead focusing on the bottom of the perforation - the retinal pigment epithelium and the choroid surface. Since 1974, we use the above two methods of treatment of macular perforation associated with varying degrees of subretinal fluid patients